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NPI Code Detail

MEDICARE: DR. JANET WATTS OTR

MEDICARE: DR. JANET WATTS OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0119000009VA

General Provider Information

NPI Number : 1932593605
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET WATTS OTR
Provider Business Mailing Address
First Line : 3740 HASTINGS DR
Second Line :
City : RICHMOND
State : VA
Zip : 23235-1722
Country : US
Telephone Number : 804-514-4359
Fax Number :
Provider Business Practice Location Address
First Line : 7246 FOREST HILL AVE
Second Line : ENVOY STRATFORD HILLS
City : RICHMOND
State : VA
Zip : 23225-1524
Country : US
Telephone Number : 804-320-7901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2015
Last Update Date : 03/20/2015

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